23D1076182 CLIA NUMBER - AQUARIUS HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 23D1076182
  • Facility Name: AQUARIUS HOME CARE LLC
  • Facility Address: 29698 DEQUINDRE ROAD
    WARREN, MI
    ZIP 48092
  • Facility Phone: 586 576-1955
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DONNA KO
  • NPI Number: 1871772780
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1076182
LAB Type Home Health Agency
Facility Name AQUARIUS HOME CARE LLC
Street 29698 DEQUINDRE ROAD
City WARREN
State MI
ZIP 48092
Phone 586 576-1955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Home Health Agency
Lab Director DONNA KO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025